NPI:
1649818972
Provider Name:
PONDEROSA HEALTH, LLC
Other Name: PONDEROSA HEALTH, LLC
Classification:
Clinic/Center - 261QM2500X
Entity Type:
Organization
Specialization: Medical Specialty
Address:
6956 SW HAMPTON ST
TIGARD, OR
ZIP 97223
Phone:
(503) 486-4081
Get Directions
PONDEROSA HEALTH, LLC is a medical specialty clinic center in Tigard, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PONDEROSA HEALTH, LLC NPI is 1649818972. The provider is registered as an organization entity type.
The provider Other Name Is Ponderosa Health, Llc.
The provider's business location address is:
6956 SW HAMPTON ST
TIGARD, OR
ZIP 97223-351
Phone: (503) 486-4081
Fax: (503) 868-4674
The provider's authorized official is Elizabeth Sandell .
The authorized official title is Naturopathic Physician and has the following contact phone number (503) 486-4081.
The enumeration date for this NPI number is 12/17/2019 and was last updated on 7/26/2022.